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Individual

MS. BONNIE BRODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
206 BUTTONWOOD AVE, CORTLANDT MANOR, NY 10567-4912
(914) 736-0692
Mailing address
206 BUTTONWOOD AVE, CORTLANDT MANOR, NY 10567-4912
(914) 736-0692

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0538381
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0538381
SOCIAL WORK LICENSE
NY
Enumeration date
12/19/2008
Last updated
12/19/2008
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